Table 2.
Grade | Disc degeneration grade based on Pfirrmann classification |
Facet degeneration grade based on Grogan classification |
|||||
---|---|---|---|---|---|---|---|
Disc structure | Distinction between nucleus and annulus | Signal intensity of disc | Disc height | Facet osteophyte | Facet cartilage | Facet subchondral sclerosis | |
I | Homogenous, white | Clear | Hyperintense, isointense to CSF | Normal | No osteophyte | Uniform thin band of cortical bone | Uniformly thick |
II | In homogeneous, ±horizontal bands | Clear | Hyperintense, isointense to CSF | Normal | Possible or small osteophyte | Thin band of cortical bone that extended into the space from the articular surface | Eroded or irregular |
III | Inhomogeneous, gray | Unclear | Intermediate | Normal to slightly decreased | Definite and moderate osteophyte | Dense bone that extended into the joint space but covered less than half the facet | Incompletely covering |
IV | Inhomogeneous, gray to black | Lost | Intermediate to hypointense | Normal to slightly decreased | Large osteophyte | Covered greater than half the facet joint | Complete absence of cartilage |
V | Inhomogeneous, black | Lost | Hypointense | Collapsed | - | - | - |
CSF, cerebrospinal fluid.